Panther Valley Family Practice PC
Family Medicine in Lansford, PA. Organization (NPI-2).
NPI number1346354438
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346354438
- Entity type
- Organization (NPI-2)
- Legal business name
- Panther Valley Family Practice PC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | os005238l | PA | Yes |
Practice location
134 W Ridge StLansford, PA 18232-1310
Phone 570-645-3133
Mailing address
134 W Ridge StLansford, PA 18232-1310
Phone 570-645-3133
Authorized official
Joseph Francis Mussoline
President
5706453133
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